Derr, Lisa M
Derr, Lisa M is an sole proprietor health care provider with primary practice located at 240 Williamson St Ste 104, Elizabeth NJ 07202-3671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Derr, Lisa M can be contacted via phone (908) 994-5480.Contact Information
Primary practice address
240 Williamson St Ste 104
Elizabeth NJ 07202-3671
Phone: (908) 994-5480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MB08941100 | New Jersey |
Profile Details
| NPI number | 1124218540 |
|---|---|
| LBN Legal business name | Derr, Lisa M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Mar 23rd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124218540 | NPPES |
| New Jersey | MEDICAID | 0270661 |
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